Test 2: Wk7: 1 Tubular transport of glucose/phosphate/urea/organic - Mangiarua Flashcards

1
Q

many transporter are —

A

not specific and transport a variety of similar subatances

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2
Q

most organic solutes are transported only in

A

proximal tubule

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3
Q

— charged organic solutes enter the cell via symporters with Na

A

neutral/ negative

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4
Q

— enter via uniporters driven by the negative membrane potential

A

cations

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5
Q

solutes move through a variety of pathways across the opposite membrane from which they entered in favor of — or couple via a —

A

chemical gradient, antiporter

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6
Q

glucose is filtered where

A

freely at glomerulus

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7
Q

glucose is taken up across the apical membrane by — and — and leaves across the basolateral membrane via —

A

SLGT2 and SGLT1; glucose uniporters GLUT

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8
Q

all filtered glucose is

A

reabsorbed

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9
Q

transport maximum for glucose Tm

A

375 mg/min

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10
Q

Glucose first appears in the urine at the

A

plasma threshold for glucose

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11
Q

true plasma threshold for glucose is

A

180-200 mg/ 100ml

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12
Q

splay

A

Glucose appears in the urine prior to complete saturation of tubular reabsorptive capacity

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13
Q

4 key characteristics of glucose transport

A

(1) threshold,
2) saturation (Tm),
(3) splay
(4) clearance approaching GFR at infinite plasma concentrations

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14
Q

Glucose is reabsorbed by the same mechanism that reabsorbs

A

xylose, fructose and

galactose

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15
Q

⬆⬆⬆ Plasma Glucose conc. blocks all reabsorption of —

A

xylose

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16
Q

Renal glycosuria

A

glucose in urine as a result of a defective or missing transport
mechanism

TG = 0 or very low.

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17
Q

Diabetes mellitus glucosuria due to

A

lack of insulin

TG = OK

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18
Q

Pregnancy - glucosuria due to

A

⬆⬆⬆ GFR, glomerular hyperfiltration.
RBF may increase 40% in response to gestational hormones

TG = OK

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19
Q

clearance of amino acids

A

0

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20
Q

amino acids are — reabsorbed

A

actively reabsorbed

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21
Q

filtered loads of amino acids are normally —- than their Tm

A

much less

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22
Q

amino acid transport mechanisms exhibit considerable —

A

splay

23
Q

— may occur in the presence of two related amino acids

A

competitive inhibition

24
Q

the — absorbs <98% of amino acids via a — route

A

prox tubule; transcellular

25
Q

at the apical membrane amino acids enter via

A

Na or H driven transporters and exchangers

26
Q

at the basolateral membrane amino acids exit the cell via

A

amino acid exchangers

some Na dependent and some facilitated diffusion

27
Q

the — reabsorbs ~98% of filtered olgliopeptides

A

prox tubule

28
Q

small linear peptides like ANGII are

A

completely filterable

29
Q

enzymes in the brush border of the PCT break oligopeptides into — which are reabsorbed

A

amino acids

30
Q

— to — molecular wt proteins will filter

A

7000 to 70,000

31
Q

the proximal tubules reabsorb % to % of filtered protein

A

96% - 99%

32
Q

the kidney — filters urea at the — then it reabsorbs and secretes it

A

freely, glomerulus

33
Q

the tubules reabsorb — urea than they secrete which makes the amount of urea in the urine — that what is filtered

A

more, less

34
Q

primary site of urea secretion

A

thin limbs of loop of henle

35
Q

in the proximal tubule, water carriers urea by — via — or — pathways

A

diffusion via transcellular or paracellular

36
Q

some urea may be reabsorbed by — across –

A

solvent drag across tight junctions

37
Q

in the thin descending limb, urea is secreted by — through —

A

facilitated diffusion through urea transporters

38
Q

urea secretion thin ascending limb

A

same as descending (facilitated diffusion) ; transporter unknown

39
Q

Inner medullary collecting duct — urea via — involving —

A

reabsorbs urea via transcellular route involving apical and basolateral membranes

40
Q

Inner medullary collecting duct urea transporter for apical membrane

A

UT-A1

41
Q

Inner medullary collecting duct urea transporter for basolateral membrane

A

UT-A3

42
Q

— stimulates UT-A1 and UTA-3

A

ADH

43
Q

urea excretion — with increasing urine flow

A

rises

44
Q

organic anions and cations are secreted by —

A

late proximal tubule

45
Q

Organic Anions enter the cell across the basolateral membrane by one of three α-ketoglutarate antiporter mechanisms

A

OAT1, OAT2, OAT3

46
Q

Organic Anions leave the cell across the apical membrane by —

A

MRP2

47
Q

Organic Cations enter the cell across the basolateral membrane by four transport pathways: — and 3 uniporters

A

passive diffusion

OCT1, OCT2, OCT3

48
Q

Organic Cations leave the cell across the apical membrane in exchange for H+ by two antiporters

A

OCTN1, OCTN2

OC+-H+

49
Q

weak organic acids and bases are reabsorbed or secreted

A

passively

50
Q

in acidic urine a weak acid will be —

A

reabsorbed

51
Q

in alkaline urine a weak acid will be —

A

excreted

52
Q

in acidic urine, a weak base will be —

A

excreted

53
Q

in alkaline urine a weak base is —

A

reabsorbed